دورية أكاديمية
Motivational Interviewing and Glycemic Control in Adolescents With Poorly Controlled Type 1 Diabetes: A Randomized Controlled Pilot Trial.
| العنوان: | Motivational Interviewing and Glycemic Control in Adolescents With Poorly Controlled Type 1 Diabetes: A Randomized Controlled Pilot Trial. |
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| المؤلفون: | Tuomaala AK; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Hero M; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Tuomisto MT; Faculty of Social Sciences (Psychology), Tampere University, Tampere, Finland., Lähteenmäki M; Faculty of Social Sciences (Psychology), Tampere University, Tampere, Finland., Miettinen PJ; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Laine T; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Wehkalampi K; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Kiiveri S; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Ahonen P; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Ojaniemi M; Department of Pediatrics and Research Unit for Pediatrics, Pediatric Neurology, Pediatric Surgery, Child Psychiatry, Dermatology, Clinical Genetics, Obstetrics and Gynecology, Otorhinolaryngology and Ophthalmology, Oulu University Hospital and University of Oulu, Oulu, Finland., Kaunisto K; Department of Pediatrics and Research Unit for Pediatrics, Pediatric Neurology, Pediatric Surgery, Child Psychiatry, Dermatology, Clinical Genetics, Obstetrics and Gynecology, Otorhinolaryngology and Ophthalmology, Oulu University Hospital and University of Oulu, Oulu, Finland., Tossavainen P; Department of Pediatrics and Research Unit for Pediatrics, Pediatric Neurology, Pediatric Surgery, Child Psychiatry, Dermatology, Clinical Genetics, Obstetrics and Gynecology, Otorhinolaryngology and Ophthalmology, Oulu University Hospital and University of Oulu, Oulu, Finland., Lapatto R; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Sarkola T; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.; Minerva Foundation Institute for Medical Research, Helsinki, Finland., Pulkkinen MA; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. |
| المصدر: | Frontiers in endocrinology [Front Endocrinol (Lausanne)] 2021 Mar 12; Vol. 12, pp. 639507. Date of Electronic Publication: 2021 Mar 12 (Print Publication: 2021). |
| نوع المنشور: | Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Research Foundation] Country of Publication: Switzerland NLM ID: 101555782 Publication Model: eCollection Cited Medium: Print ISSN: 1664-2392 (Print) Linking ISSN: 16642392 NLM ISO Abbreviation: Front Endocrinol (Lausanne) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Lausanne : Frontiers Research Foundation] |
| مواضيع طبية MeSH: | Blood Glucose/*analysis , Diabetes Mellitus, Type 1/*psychology , Diabetes Mellitus, Type 1/*therapy , Motivational Interviewing/*methods, Adolescent ; Anthropometry ; Child ; Diabetes Mellitus, Type 1/blood ; Female ; Finland ; Glycated Hemoglobin/biosynthesis ; Humans ; Male ; Outpatients ; Pilot Projects ; Quality of Life ; Reproducibility of Results ; Treatment Outcome |
| مستخلص: | A multicenter randomized controlled pilot trial investigated whether motivational interviewing (MI) by diabetes physicians improves glycemic control and variability in the context of follow-up for adolescent patients with poorly controlled type 1 diabetes. Patients ( n = 47) aged 12 to 15.9 years who showed poor glycemic control (HbA1c >75 mmol/mol/9.0%) were randomized to standard education (SE) only or MI+SE, with study physicians randomized to employ MI+SE ( N = 24 patients) or SE only ( N = 23). For one year of follow-up, the main outcome measurements were obtained at three-month visits (HbA1c) or six-monthly: time in range (TIR) and glycemic variability (CV). Mean adjusted 12-month change in HbA1c was similar between the MI+SE and SE-only group (-3.6 vs. -1.0 mmol/mol), and no inter-group differences were visible in the mean adjusted 12-month change in TIR (-0.8 vs. 2.6%; P = 0.53) or CV (-0.5 vs. -6.2; P = 0.26). However, the order of entering the study correlated significantly with the 12-month change in HbA1c in the MI+SE group ( r = -0.5; P = 0.006) and not in the SE-only group ( r = 0.2; P = 0.4). No link was evident between MI and changes in quality of life. The authors conclude that MI's short-term use by diabetes physicians managing adolescents with poorly controlled type 1 diabetes was not superior to SE alone; however, improved skills in applying the MI method at the outpatient clinic may produce greater benefits in glycemic control. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Tuomaala, Hero, Tuomisto, Lähteenmäki, Miettinen, Laine, Wehkalampi, Kiiveri, Ahonen, Ojaniemi, Kaunisto, Tossavainen, Lapatto, Sarkola and Pulkkinen.) |
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| فهرسة مساهمة: | Keywords: HbA1c; adolescent; diabetes; glycemic control; motivational interviewing (MI) |
| المشرفين على المادة: | 0 (Blood Glucose) 0 (Glycated Hemoglobin A) 0 (hemoglobin A1c protein, human) |
| تواريخ الأحداث: | Date Created: 20210329 Date Completed: 20211221 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7994365 |
| DOI: | 10.3389/fendo.2021.639507 |
| PMID: | 33776935 |
| قاعدة البيانات: | MEDLINE |
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